Tag: assessments

CMS hosting special open door forum

Centers for Medicare & Medicaid Services (CMS) will host a Special Open Door Forum on Thursday, October 8, 2015 from 2:00-3:00 EST to discuss the upcoming Dry Run for LTCH Provider Performance Reports on All-Cause Unplanned Readmissions for 30-Day Post Discharge from Long-Term Care Hospitals (LTCHs). The purposes of this Special Open Door Forum are: […]

Poll: Voluntary submission of staffing data through the PBJ

In an open door forum held August 6, 2015, CMS emphasized the impending introduction of the payroll-based staffing journal (PBJ)—an electronic system through which SNFs will be required to submit staffing data pulled directly from their payrolls starting in July 2016. Beginning this October, CMS is offering providers the opportunity to submit data through the […]

How to develop core administrative competency

Core Administrative Competency is about what people in senior administrative positions need to know/develop in order to be more effective in their role(s). In this post, Reg Hislop explores the key items necessary for effective development of administrators. This includes: Know How and Why You Get Paid: Sounds fundamental but I have so many conversations with […]

CMS and AMA Announce Efforts to Help Providers Get Ready For ICD-10

With less than three months remaining until the nation switches from ICD-9 to ICD-10 coding for medical diagnoses and inpatient hospital procedures, The Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) are announcing efforts to continue to help physicians get ready ahead of the October 1 deadline. In response to […]

Core Administrative Competency: SNF by Reginald Hislop III

As I have written before and readers know, I field as many questions and provide as many resources as I can “free” of charge.  My e-mail is publicly available for contact on this site and on my LinkedIn page.  The title of this post thus, is a reference to the many questions I’ve received as of […]

Share your feedback, and you could win a free HCPro book!

We are currently conducting our annual customer feedback survey, and we would appreciate your input. Please take a few moments to share your thoughts on the most pressing regulatory and care issues facing long-term care professionals today. To show our thanks, we will select one respondent at random to win a complimentary copy of The […]

SNFs: A new era in post-acute care begins by Reg Hislop III

Over the years I have written about the changing landscape in post-acute care, principally due to the health policy ground swell resultant from the ACA (other reasons too but the ACA concretized them all, more or less). Boiled down, the fundamental driver of change is “pay for performance”; the notion that payment will migrate toward value […]

Senate Finance Committee holds hearing on Medicare appeals system

On April 28, 2015, The Senate Finance Committee held a hearing about the Medicare appeal problems, focusing on the immense backlog at the ALJ level.  The committee members considered ways to fix problems at the center of the appeals backlog. However, the current proposals don’t work; they would further restrict access to meaningful reviews. Current […]

Ask the expert: Ambulance billing

Q: I work in ambulance billing.  I know that under Original Medicare, many non-emergent transports of bed confined and non-wheelchair patients is billable to the SNF.  Is the same true for Medicare Advantage plans? Also, is there some way to tell when to bill the SNF?   A:  Medicare Advantage plans are not subject to consolidated billing […]

Self-reporting assessment tool for dementia symptoms proves useful

A recent study showed that the self-reporting assessment tool can monitor symptoms in those living with dementia and track their levels of improvement or decline. Self-reporting is proving useful by providing valuable information that the patient’s entire care team needs.The tool is regarded  as a clinically practical multidimensional tool that  can be used along with […]